Medcology LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDCOLOGY LLC

Doing business as

Boulevard Family Practice

Practice address

3431 S Boulevard St
Suite 109
Edmond, OK 73013-5475

Phone

(405) 562-1870

Fax

(405) 562-1871

NPI assigned

Oct 18, 2006

Last updated

Mar 14, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. T Denise Cato

Title

Owner Administrator

Phone

(405) 470-1884

Specialties & licenses 1

Addresses

Other names 1

• Boulevard Family Practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Suzette Evans, M.D.

  • Family Medicine Physician
  • McGehee, AR
  • NPI 1508800707
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1922189729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22656",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731231656",
            "telephone_number": "405-470-1884",
            "fax_number": "405-470-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 S BOULEVARD ST",
            "address_2": "SUITE 109",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135475",
            "telephone_number": "405-562-1870",
            "fax_number": "405-562-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "CATO",
        "authorized_official_first_name": "T DENISE",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "405-470-1884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jadah Meadors
• Misty R Meadows, MA, CCC-SLP
• Sarah Lea Mears-Ivy, LPC
• Martin A Mears, D.C.
• Med Southwest, PLLC (MyEyeDr.)
• Alex E Medgaarden, PA-C
• Medi Practice Management LLC
• Medical Enterprises Inc.
• Medical Resource Management, LLC (Access Medical Center)
• Medical West Respiratory Central , LLC

• Health Service Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Health Service Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.